American Hospital Dental Department, Nisantasi, Istanbul, Turkey.
Int J Oral Maxillofac Surg. 2013 Nov;42(11):1462-8. doi: 10.1016/j.ijom.2013.05.003. Epub 2013 Jun 12.
The conventional treatment of odontogenic cysts usually involves enucleation of the cyst using rotary and manual instruments; such procedures can cause trauma to the cystic epithelium or soft tissues in the region, such as sinus membrane perforation or nerve damage. The use of ultrasonic surgery may reduce the risk of damage to soft tissues. The objective of this study was to evaluate the performance of ultrasonic surgery in removing odontogenic cysts. Eighty-two cysts were removed from 68 patients over a period of 45 months. Ultrasonic surgery was used for 34 patients and conventional surgical procedures were used for 34 control patients. Two surgeons rated the cutting efficiency, visibility of the surgical field, ease of operation, and ease of cyst epithelium removal on a 100-mm visual analogue scale. The operation time was also recorded. No major intraoperative or postoperative complications were observed, and there was no cyst recurrence. Ultrasonic surgery for enucleating jaw cysts was found to increase the operation time, but also markedly increased the visibility of the operation field. In cases where cyst enucleation is performed in difficult areas that require delicate manipulation, there is less risk of damage to vital structures such as neurovascular tissues with ultrasonic surgery.
牙源性囊肿的传统治疗方法通常包括使用旋转和手动器械进行囊内切除术; 这些程序可能会对囊状上皮或该区域的软组织造成创伤，例如窦膜穿孔或神经损伤。超声手术的使用可能会降低软组织损伤的风险。本研究旨在评估超声手术在去除牙源性囊肿方面的性能。在 45 个月的时间里，从 68 名患者中切除了 82 个囊肿。34 名患者使用超声手术，34 名对照患者使用传统手术。两位外科医生使用 100mm 视觉模拟量表对切割效率、手术视野的可见度、操作的难易程度和囊状上皮去除的难易程度进行评分。还记录了手术时间。未观察到主要的术中或术后并发症，也没有囊肿复发。超声手术切除颌骨囊肿虽然增加了手术时间，但也显著提高了手术视野的可见度。在需要精细操作的困难区域进行囊肿切除时，超声手术对神经血管等重要结构造成损伤的风险较小。
